Spreading Light

Let's Beautify Together!

Register to receive a FREE B12 Shot or
5 FREE Units of Botox/Xeomin with purchase of any Bridal Glo Up Package!

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Thank you! Come by our booth #700 July 23-24 or make an appointment to come by our office before August 1st!

B-12 injection and/or IV Vitamin Infusion Informed Consent

Vitamin infusion helps maintain good health and has been shown to be beneficial in helping to: Reduce stress, fatigue, improve memory and cardiovascular health, and maintain a a good body weight. It can also assist the body in converting proteins, fats and carbohydrates into energy and is necessary for healthy skin and eyes. IV/Injections are better absorbed by the body since they go directly into the blood stream.

Risks: I understand there is risk of mild diarrhea, upset stomach, nausea, a feeling of pain and a warm sensation at the site of the injection, a feeling, or a sense, of being swollen over the entire body, headache and joint pain.

 

Non-FDA EVALUATED OR APPROVED. I, as patient signing and consenting below, understand and acknowledge that the United States Food and Drug Administration has not evaluated or approved the treatments I am about to receive to diagnose, treat, cure, or prevent any disease. The FDA might in fact recommend other treatments.

 

JUDGMENT AND CHANCE TO ASK QUESTIONS In giving the consent hereunder, I, as patient, am relying on the judgment of the clinical professional evaluating me and administering the treatments. I have had the meaningful chance to ask questions and have received satisfactory answers to my questions. The risks and potential benefits of the treatment I am consenting to have been explained to me. Alternatives to the treatments I am consenting to have also been discussed with me.

 

I understand I’m getting consulted and treated by Dr. Noam Rosines (Houston) Nurse Practitioners and Registered Nurses today.

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